NUR 540 Module Four Short Paper Guidelines and Rubric Overview: In your final project, you will be asked to make clinical decisions for a patient.

NUR 540 Module Four Short Paper Guidelines and Rubric Overview: In your final project, you will be asked to make clinical decisions for a patient. This short paper will help you practice clinical decision making on a disorder of the respiratory system. You will explain the rationale for a patient’s physical symptoms, analyze risk factors relevant to treatment decisions for promoting patient outcomes, and identify the use of patient-care technologies that are appropriate for diagnostic testing. Consider the following case study:

A 58-year-old, self-employed communications consultant has smoked a pack a day for more than 30 years. He has a 10-year history of asthma/chronic bronchitis and congestive heart failure. He is 5 feet 11 inches tall and weighs 370 pounds. He routinely takes a diuretic and pulmonary medications. The following information is obtained from the medical record:

 Diagnosis: COPD exacerbation secondary to bronchitis and right-sided CHF with newly diagnosed irregular rhythm.

 Presenting signs and symptoms: Cough productive of brownish-green phlegm, ankle swelling, orthopnea (six pillows to help with sleep), dyspnea (on walking one block), and fever and chills.

 Relevant diagnostic testing (consider all other lab results normal): o Na = 139, K = 3.8, glucose = 99, BUN = 21, creatinine = 1.6, WBC = 5,600, theophylline level = 5.7 ug/ml, BNP 780. o ABGs on room air: pH = 7.32, pCO2 = 57, pO2 = 57, HCO3 = 30, SaO2 saturation = 81%. o Chest x-ray: borderline cardiomegaly, infiltrates to right middle lobe of lungs. o Current vitals as follows: BP 134/58 (L. arm, sitting), RR 26, pulse 116, temp 37.1°C. The telemetry monitor shows this reading:

 

Atrial Fibrillation (Burns, 2011)

Reference

Burns, E. (2011). Atrial fibrillation. Licensed under Creative Commons Attribution-NonCommercial ShareAlike 4.0 International License on Lifeinthefastlane.com. Retrieved from https://lifeinthefastlane.com/ecg-library/atrial-fibrillation/

 

https://creativecommons.org/licenses/by-nc-sa/4.0/

 

 

Prompt: From a pathophysiological perspective, write a short paper in which you address the following questions related to the respiratory system:

 Briefly explain the rationale for the patient’s physical symptoms based on the information provided.

 Explain one to three treatment decisions for this patient based on evidence-based research.

 Analyze some risk factors relevant to the treatment decisions for promoting better patient outcomes.

 In addressing clinical decision making as a future graduate nurse, discuss the current diagnostic test results. What additional patient-care technologies would you recommend based on these results?

Guidelines for Submission: Your short paper should be submitted as a Word document with 12-point Times New Roman font, double spacing, and one-inch margins. The paper should be a minimum of 2 pages in length. Support your paper with relevant peer-reviewed sources, cited according to APA style.

Rubric

Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) Value

Rationale Explains the rationale for the patient’s physical symptoms

Explains the rationale for the patient’s physical symptoms, but explanation is cursory or illogical or contains inaccuracies

Does not explain the rationale for the patient’s physical symptoms

22.5

Treatment Decisions

Identifies at least one treatment decision based on evidence-based research

Identifies at least one treatment decision based on evidence-based research, but decisions are unclear or illogical or contain inaccuracies

Does not identify at least one treatment decision based on evidence-based research

22.5

Risk Factors Analyzes risk factors relevant to the treatment decisions for promoting better patient outcomes

Analyzes risk factors relevant to the treatment decisions for promoting better patient outcomes, but analysis is unclear or illogical or contains inaccuracies

Does not analyze risk factors relevant to the treatment decisions for promoting better patient outcomes

22.5

Diagnostic Testing and Patient-Care

Technologies

Discusses the current diagnostic test results and recommends appropriate patient-care technologies

Discusses the current diagnostic test results and recommends patient-care technologies, but recommendations are unclear or illogical or contain inaccuracies

Does not discuss the current diagnostic test results or recommend patient-care technologies

22.5

Articulation of Response

Paper is free of errors of organization and grammar

Paper contains errors of organization and grammar, but they are limited enough so that the paper can be understood

Paper contains errors of organization and grammar, making the paper difficult to understand

10

Total 100%

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Choose a common myth associated with managed care. You may use one of the myths discussed in this week’s reading assignment, or come up with one on your own.

Choose a common myth associated with managed care. You may use one of the myths discussed in this week’s reading assignment, or come up with one on your own. Write a 2 page analysis on why you think this myth came about and why it still may be prevalent today. Explain to what degree the myth is based on facts, truths, and misunderstandings.

Summarize the evidence from research that counters or supports the premise of your myth. Conduct research in at least two sources, not including your textbook. Cite your sources using APA style guidelines.

 

This is the week you turn in your outline and annotated bibliography to give direction to your paper (Review the assignment in Module 01.)

Outline:

  • Provide a strong thesis statement outlines the path that your project will follow. Remember to reflect on an argumentative point of view (through an assumption or myth)
  • Outline should support thesis, listing topics and sub-topics for your project.

Annotated Bibliography:

  1. Annotated paragraphs for at least 3 sources include summary of the source, an evaluation, and description of source’s usefulness.
  2. Properly formatted using APA guidelines.
  3. Mechanics follow required standards.

Recap of Project Goal:

  • Write an argumentative research paper on a managed care-related topic, assumption or myth; thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today. You will gather evidence on present a well-reasoned argument or debatable issue. The goal of an argumentative paper is to show that your perspective is valid. You are to form reasons, draw conclusions and apply them to your findings. The purpose is not to completely prove your point, but to convince readers, with your evidence, that your argument or position has merit.
  • Your project is due by the end of Week 05. Along the way, you are responsible to do the research and writing and turn in portions of your project according to the following Time Line. (You will be given specific instructions each week.)

The post Choose a common myth associated with managed care. You may use one of the myths discussed in this week’s reading assignment, or come up with one on your own. appeared first on Infinite Essays.

please follow the instruction.

1.What is Thomas Nagel Trying to prove in his essay what Is It like to be a Bat? What sort of evidence does he offer in favor of this conclusion? Do you think that his evidence adequately support his conclusion? why or why not? If Nagels argument worked, what would be the major implication for trying to explain human consciousness scientifically? (please be precise)

2. In his Essay Epiphenomenal Qualia, Frank Jackson presents what he calls the knowledge argument for his conclusion. What is this argument? How does he say it differs from other arguments in favor of the same conclusion? Do you agree with what he says there ?why or why not? Do you agree with his thesis that the knowledge argument is a good argument overall? why or why not? And what the heck are epiphenomenal qualia anyways?
3.Saul Kripke has a two-stage argument in favor of the particular picture he has of the nature of the mind-brain connection. In the first stage, he argues in favor of certain view of how science explanation operates. What is that view? What argument does kripke offers in its favor? Do you agree with that argument ?why or why not? What are the implications of such a view for a functionalist explanation of the mind-brain connection?
4. What is Colin McGinns view on the nature of the mind -Brain debate? What reasons does he give in favor of this view ? Do you agree with his view or disagree? Why? In Answering the latter question, try to trace out as best you can a plausible, reasonably well-supported theory of either scientific progress or philosophical understanding that makes sense of what you say.

Note; the book for this class is ; Philosophy of Mind: Classical and Contemporary Readings by David J. Chalmers (ISBN 978-0195145816).
(these is a copy of the book online)

Reflection on TED talk video

Watch the Brene Brown ‘Shame and Empathy’ TED talk
Do some journaling about your takeaways and ‘aha’ moments.  Journal in complete sentences, and with a sense of personal introspection
– Don’t just summarize the talk!!!!!!!!

Link https://www.ted.com/talks/brene_brown_listening_to_shame